<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 10.09.41.09" title_num="10" subtitle_num="09" chapter_num="41" heading="Posteligibility Requirements.">
  <paragraph num="A.">
    <text>Department's Responsibility. If it makes a determination as described in Regulation .08A of this chapter, the Department shall:</text>
    <paragraph num="(1)">
      <text>Inform the applicant or recipient of the applicant's or recipient's legal rights and obligations; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provide to the applicant or recipient written notice of the findings, rights, and obligations as specified in COMAR 10.09.24.12A(2) and (4) and Regulation .08B or C of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Recipient Responsibility.</text>
    <paragraph num="(1)">
      <text>A recipient or the recipient's representative shall:</text>
      <paragraph num="(a)">
        <text>Notify the Department within 10 business days of changes that may affect the recipient's eligibility for EID;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Limit use of the Medical Assistance card to the individual whose name appears on the card;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Cooperate with the Department by completing forms to report all pertinent information that would assist the Department in seeking reimbursement for expenditures made on the recipient's behalf;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>If services covered under the State Plan are provided for injuries resulting from an accident, provide to the Department:</text>
        <paragraph num="(i)">
          <text>Notice as to the time, date, and location of the accident;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The name and address of the attorney;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>The names and addresses of all parties and witnesses to the accident; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>The police report number if an investigation is made;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(e)">
        <text>If written notice of cancellation is received, discontinue use of the Medical Assistance card on the first day of ineligibility; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Cooperate with the Medical Assistance Quality Control—Program Integrity.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A recipient's failure to comply with the provisions of §B(1) of this regulation may result in the adverse consequences specified in COMAR 10.09.24, including:</text>
      <paragraph num="(a)">
        <text>Termination of benefits under this chapter; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Legal action.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Additional Recipient Responsibilities Concerning Third Party Reimbursement. A recipient of Medical Assistance in the EID coverage group:</text>
    <paragraph num="(1)">
      <text>Is considered, as specified in COMAR 10.09.24, to have created an authorization for the release of data, records, and information necessary for the Department's pursuit of third-party reimbursement;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Shall assign benefits to the Department and cooperate in the Department's recovery procedures as required in COMAR 10.09.24; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Shall assist and cooperate with the Department's efforts to collect available health insurance benefits and other third party payments as specified in this regulation and Regulation .12 of this chapter.</text>
    </paragraph>
  </paragraph>
</regulation>